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Individual

ALEXIS DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CAC, CTP

Contact information

Practice address
2311 N ORANGE BLOSSOM TRL, KISSIMMEE, FL 34744-2313
(407) 957-9077
(888) 702-0079
Mailing address
2311 N ORANGE BLOSSOM TRL, KISSIMMEE, FL 34744-2313
(407) 957-9077
(888) 702-0079

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
003786
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
0100308
FL

Other

Enumeration date
02/11/2026
Last updated
02/11/2026
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